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HomeMy WebLinkAboutAPPLICATIONS, CO, BP - 07-00557 - 593 E 5th S - New SFRoe Raxa vRc U 90 s� 1 ,B[�SMED ,eeA ' CITY OF REX Ow- Americas Family Community Building Permit ISSUED TO: PERMIT #: 0700557, NAME: Fillmore Construction Inc FOR THE CONSTRUCTION OF: 5 93 E 5th S- Fillmore JOB ADDRESS: 593 E 5th S GENERAL CONTRACTOR. Fillmore Construction This permit is issued subject to the regulations contained'in Building Code and Zoning Regulations of the City of Rexbug. It is specifically understood that this Permit does not allow any Variance to the regulations of the City of Rexburg or Zoning Codes unless specifically approved by the City Council and explained on the Building Permit Application as approved by the Building Inspector. Date Approved 11/15/2007 Issued By Building Inspector THIS PERMIT MUST BE PROMINANTLY DISPLAYED AT THE BUILDING SITE THE BUILDING MAY NOT BE OCCUPIED OR USED WITHOUT FIRST OBTAINING ACERTIFICATE OF OCCUPANCY 1) A complete set of approved drawings along with the permit must be kept No work shall be done on any part of on the premises during construction. the building beyond the point indicated 2) The permit will become null and void in the event of any deviation from the in each successive inspection without NOTICE! accepted drawings. approval. No structural framework of 3) No foundation, structural, electrical, nor plumbing work shall be concealed any underground work shall be covered - without aooroval. INSPECTION CARD BUILDING Data Onnrnvarl I. Mechanical Rough In 2. Mechanical Pressure 3. Mechanical Final Ins 4. Layout 5. Footing 6. Foundation 7. Framing 8. Insulation 9. Drywall 10. Sidewalk 11. Final ELECTRICAL Date Approved 1. Rough -In 2. Final PLUMBING rata Annr^xr. l 1. Sewer Service Conn Water Service Conn( 3. Rough -In 4. Ground Rough -In 24.Hour Notice and Permit Number required to make inspection appointments For Inspections Call 359 -3020 option 2 ACERTIFICATE OF OCCUPANCY CAN NOT BE ISSUED PRIOR TO FINAL ELECTRICAL & PLUMBING INSPECTION o ER�XB�k.:. o CI or Certificate of Occupancy ° RE XBURG City of Rexburg m America's Fam il y Communi � ry Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359 -3020 / Fax (2081359 -3024 Building Permit No: 0700557 Applicable Edition of Code: International Residential Code 2003' Site Address: 593E 5th S Use and Occupancy: Single Family Occupancy Type of Construction: Type V, non -rated Design Occupant Load: Residential Sprinkler System Required: No Name and Address of Owner: Fillmore Construction Inc 1295 E 300 N Rexburg, ID 83440 Contractor: Fillmore Construction Special Conditions: Fireplace mantel recessed light was removed due to unlisted installation. Occupancy: Residential - less than 2 units, permanent in nature This Certificate, issued pursuant to the requirements of Section 909 of the International Building Code, certifies that, at the time time of issuance, this building or that portion of the building that . vies inspected on the date listed wes found to be in compliance idth the requirements of the code for the group and division of occupancy and the use for W7ich the proposed occupancy Vies classified. Date C.O. Issuec C.O Issued by: There shall be no further change in the e)asting occupancy classification of the building nor shall any structural changes, modifications or additions be made to the building or any portion thereof until the Building Official has reviewed and approved said future changes. Plumbing Inspector Inspector: Electrical Inspector: P &Z Administrator: 'Q 03/20/2008 11:22 2085234 dark 18. 2007 10:14AN CITY OF REXBURG MECHANICAL. PERMIT APPLICATION pleas! 19 E MAIN, pMMURCI, ID. 83440 If the q 209- 359.3020 X326 LEISURE TIME INC • PAGE 02/02 IVO. 5))7 I I t 0700557 593 E 5th S- Fillmore PARCEL NUMBER: �j ;(:�' (WO will provide tms,for you) UNIT# _ SLOCK# LOT# (Addressing is based I = tho;at'atraatioa must be ==U) Lo CONTACT PHONE # PROPERTY 5 4. PHONE #: Home ( ) Work ( ) Cell OWNER MAILING ADDRESS: CITY: STATE: ZIP: - allc4hT. (If othcr ftu own for OMOT meet acooflnpany this VPlicatio❑.) (Applicant if other than "cm a smtemeat antborizing app"cant to act as egeat APPLICANT INFORMAT16N: ADDMSS CITY: STATE; 77P EMAIL FAX ( ) PHONE #: H Work Ceu ome ( ) _ MAILING ADDRESS: r PHONE: Home# Work# �zJLo &. eIN , EMALL . FAX How many buildings arc locatod on this property? Did you recently purchaso this pxoPW No Yes (If yes give owner's name) Is this a lot split? NO YES (Please bring copy of new legal desGCiptiom of PTPeM) PROPOSED USE: (i.e., Single Family Residence, MUM Pemily, Apertnmts, Remo A Garage, Com®arcial, Addition, >vtc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: under l =tY of PQjM, I herc�y -`� Lhx 1 have coed rho opptkud#oa and taera du basin Is oanoat gad 2 MW fItsf UW h&XV t" WW*h may braufler be Ift o by me fa �r bcfaro the Plmnmg and Zoaiaa Commtubn of the CansaJl ibr flro City Of Rdxburi sba11 be hv4ttl11 sad correct 1 a VW to aoetp>y alth all CtW Tt ogd= and SSA laws rclazmg to the �»ltleot msRer of�ts �pltaatlon and bat46y Y°e of the Cid tD ettter.npon She ebovettae�Eomcd property � f P�'� NOTE: 1be official may mdm a perntitoo al fmdartbe pmvbl d Codo 9000s o�b� Old If aatlt MP3 fb 1 g don of fact m Sh licati0n or on the pleas oA whleh p car approval was ba A Pcrtnit void tf net w+ithia dip. _. DATE Do you prder to be contacted by fax, email or phone? Circle One WARN g _ BUILDING; ]pE MTI MusT BE POSTE;] ON CONSTRUCTION SMv Plan fees are noo•refundable and are pald In W attho Batt of applleAtfon beOning h" Ry I zoOS Ctly of Reibarg's Atceptance of the plan review fee does not eonstttt• plan approval 10/31/2007 13:17 FAX 2085240801 1.2 9AV B &S BOILER 0700557 CITY OF MECHANICAL 19 E MAIN, RE; 208- 359 -3020 X; PARCEL NUM] SUADMSION- (Addressing is ban PROPERTY 1 593 E. 5th S. ' APPLICATIm Please C4 — - - _ —_— ID, 83440 If the "Mm does not apply RD in NA for as applkable the information - must !0 eccurgte roc _( We will provide this for you) UNIT# #BLOCK# LOT# "3 1�57 4" S CONTACT PHONE # PHONE #: Home ) Work ( ) Coll ( ) OWNER MAIUN i ADDRESS: CITY, , 6th' STATE: U ZIP: '6144 � EMAIL FAX APPLIWT (If than owncr) - (ApplicartL 1f *d=%han swrow, a mu mcm au dwAwttg applicmn to act as agem for owttcr most acoot:>1 wy this application,.) APPLICANT INFO WAnon ADDRESS CITY: STATE; ZIP EMAIL FAX PHONE#: Home ( ) Work ( ) Ccll (. ) C�1YT. �A�C71U]� it ;-'. — MAMINGADDRE S: SDo CITY +zx�c.•.,r STATE � ZIP PHONE; Homc# 35 b - 45'80. Work# CCU# 1 © - EMAIL FAX How many buil i , art loclrted on this pmpetty� - Did you recently p this popercty? No Yes (If yvs give owner's Dona) OCT 47 Is this a lot split? N YES (Please bring copy of new legal description of pro PROPOSED USE: (i.e., Siowe FZM24 rase, Multi Family, ApwWw" RcumduL Q�e, CommtarciaL Additi : .+ J € ,� G APPLICANT° S S!G AT R.F:, CERTFRICA T ION AND ALMIOR ZATION; UAdCr pet►aby a� perjury t �,ereby emery Est 1 Aen t road thin amll ioe and spRc 1 0 tbo illfarte4ion beseln is mumt aed I agent thm am inforroatlen vhM mw baeafter be givep by me is hmrbW hefloic fbe Planning and Zenc a Cbmmklica or the q Omnal ihr do City cifte4mg shall be at hW and aumt I agate to comply WM AN City resol iooa and suft laws Miming m ae su►jsct maox of this application andboai+y naharund rrpr aeuamves of the Cry b arras upon On abnYVm.atimad poapmty far bapsaimp popom. Nars: Tbc bai7dir,� a� may iCYgko a r ae spprw.l ierprod oedcr tbo ptevisrm� of tAo 20Q3 Jataelifamal Cady io wxs oaf tt� tabs rsaa�wx armf�eaaotasl� e�tid io the spoication or an thopbme *V4 the pstmft at Amovel was b"e& Pwzdtt vow if ftt stated % thin ISO am, Pandt voM It nark SNP far 180 days. Sigmalm of OwncdAp Do you Prdw ta0 be Man / 1 DATE ftMd by flex, Ansll or plaotl e? Curk Ow WARNNG — Wn blr% PERMIT MUST RE POSTED ON CONSTRUCTION SITE! a are na*.relhtrdahla and era paid to fall at as time of appH mom bn&eif City of Rmcbarg's Aoreptanee of the plan rswiew fee dam not eonatibste plan appt'o►al CITY OF KEXB UAG PERMIT # BUILDING PERMIT APPLICATION Please complete the entire Application! 19 E MAIN, REXBURG, ID. 83440 If the question does not apply fill in NA for non applicable 208 - 359 -3020 X326 PARCEL NUMBER: (We will provide this for you) CT TRTITTTTCTnXT• � 1 �r� 4l - etv I TNTT# BLOCK# / LOT# / (Addressing is based on the information - must be accurate) OWNER NAME CONTACT PHONE # ;LOS S s PROPERTY ADDRESS: �o lO 4sII l PHONE #: Home Work ( ) Cell (,V) .5 �iO OWNER MAILING ADDRESS: 95 3 CITY: � STATE ZIP EMAIL FAX APPLICANT (If other than owner) (Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application) APPLICANT INFORMATION: ADDRESS CITY: STATE; ZIP, PHONE #: Home ( ATE ZIP. CONTRACTOR S�-P as & J "1 `ff_ MAILING ADDRESS: CITY PHONE #: Home ( YES (Please bring opy of new legal description of pro erm)I T'V OF R E B V t 1 EMAIL FAX IDAHO REGISTRATION # & How many buildings are located on this property? Did you recently purchase this property? No ' es f yes, list previous owner's Is this a lot split? '&S ) PROPOSED USE: (i.e., Single Family Residence, EMAIL F Work ( Cell ( Work ( Family, Apartments, Remodel, Garage, Commercial, Addition, Etc.) APPLICANT'S SIGNATURE, CERTIFICATION AND AUTHORIZATION: Under penalty of perjury I hereby certify that I have read this application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above - mentioned property for inspections purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 International Code in cases of any false statement or misrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not started 180 days. Permit void if work stops for 180 days. of ,,t�7 �; � ) ( 7 DATE Do you p er to be contacted by fax, email or phone? Circle One WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITE! Plan fees are non - refundable and are paid in full at the time of application beginning anaarg L 2005. City of Rexburg's Acceptance of the plan review fee does not constitute plan approval **Building Permit Fees are due at time of application** **Building Permits are void if your check does not clear** State of Idaho County of Madison Building Safety Department City of Rexburg 19 E. Main ionellh@rexburg.org Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 0 .gxauR 9 CITY O F REXBURG Americds Family Community I, Name City Affidavit of Legal Interest Address State Being first duly sworn upon oath, depose and say: (If Applicant is also Owner of Record, skip to B) A. That I am the record owner of the property described on the attached, and I grant my permission to: Name Address to submit the accompanying application pertaining to that property. B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. Dated this day of 3 20 Signature Subscribed and sworn to before me the day and year first above written. Notary Public of Idaho Residing at: My commission expires: FROM Qet 31 07 OG:4Ge FAX NO. :2087854905 Oct. 31 2007 07:4241 P1 P.2 Please complete the enure Application! NAME -q3 P110PT,' C'Y ADDRESS SUBDIVISION 1)wd ing Units: Parcel Acres: SETBAC KS PRONT 3'� sl id; � -- SIDE a& BACK L®- Rcmodeluig Your $utlWA911L0me (need F?stimate) 8 A 0 ! SURFACh SQU ARE FOOTAGE. (Shall intlu& the esteriar a-all measurement of the building) First Floor A1ca -� Second Roodloft area 7lurd flour /li,F� stet --- -_— _ Shed ur Bam �. Water Meter Quantity: LO Unfinished Basement area -- Finished basement area Garage ate. -a _1 / / Carpott /Decit (W' a bove p�adc) -- -- * * *'► * * * «* Me +*Wheat Metter Sire: RequiredW PLUMBING Plumbing Contmcwr's N2mc. _fiusinccs Namc A ddress , �` � � f[ • City . l�� State ,Q �y _ --Z,,3 Contact Phone: cM) 76- - `t' Business Phone' v jj��y�- f! 09 law 1 COUM iadudi'rr me ►bed dxtur" I Clothes Washing M:whinc � Spxiaklerc Dishvmsher _ Tub /Showers Fluor Drain Toikt/Urinal Garbage Disposal .�^ Warrx Heater f Ht Tub /Spa _ 1 _ Wager Softcnar Sinks (Luvatorics, kitchens, bat, mop) Plumbing Estims S c (COMMERCIAL /MULTI -FAwLY oNLY) Contxoetoa Tim pn aI saivvkk it aa,aw 0 rmaared �y dm Sjate l L N— Lo -7 Datc OCT 31 2007 t (v I 1 b Liem a Number& G.Ypieadfan CITY OF REXBUR0 03/20/2008 11:22 2085234 Jan. 18. 2001 10:14AM a PAGE 01/02 No. 3539 P. 3 Building Safety Department cvy of Roxhury 19 E Win f Of1911howburg -om Phone: 208.399 -M x926 Rexbuj, 089440 J www,rexourp.orp Fan 208AW" f4 Vec'� C1TY OF $ REXSURG ',.�� ,,• Anw"W} ra CAMMI nl4 NAME Permit* SIJBDMSZON The City ofRabn's pan»it fee schedule is the soma ai fred b rlre Stta Required!!! MECHANICAL � Mmhanical Contaaotor's Nam y� ho 11 Business Nain ; Address 9_ City State . �J�� 'D Cell Phone; ( - Business Phone: Fax: 0d) ,C�vz Email Mechanical Eatimate $_ (Commerdral/Multi FaMW Only) F IXTURES & APPLUNCES COUNT (Single FamiXy DweQing O Exhaust or Vent Du= cts Fumace/Air Conditioner Combo Beat Pump Air Conditioner Rvapomtive Cooler Unit Neater Space Heater C> gas - fired appliance Incinerator System Boiler Pool Heater LEISURE TIME INC Dryer Vents Range Hood Vents Cook Stove Vents Bath Fan Vents other similar vents & ducts: Fuel Gas Pipe Outlets including stubbed in or fat= outlets Heat (Circle all that ajj ly as '1 Coal Fireplace Electric H yclmnie Mechanical SiZi'ng Calcola s m st be subm�i ed �itb Plan & A,pplication P t of Delivery ust b shown on ns. Sipnture of 1. cased C& t da i ioense number D 10/31/2007 13:17 FAX 2085240801 V4 F. IV fVVr i I ;z7>im Building Safety Department City & Rexburg I � E Main janegh ®rexburg.org Phone. 208-359.3020 x326 Rexburg, 1� b�a40 wwwjexburg.org Fax: 208.359,3024 B &S BOILER INC la 001 P. 3 CITY of RFX PW Amelml FdmflF C4mmarrity NAN,[I~ a �` R PROPERTY ADD SS La + D S 1C. J � Permit# SUBDIVISION Required!. ! MECIMNICAL R 1, • c Mechmical Conttac is Name_ ' @ , JSa v� Business Name- 73 l�S0 ; ev A.ddre8s i 5_ r a SLI_ City ca Std?e r.) . Zip Coll Phone: ( ) $ L/ I Business Phone: { ) 5a (4 - t 7 3 ? Fax: ( ) S" 4 ` 060 Email s b o j I ev � S v L j . vat Mechanical Esti*e S (CommerciallMulq Family Only) F=BM & APP 7 CES COUNT (Single Family Dwelling Only) Furnace Exhaust or Vent Ducts �- Furnace/ ' Conditioner Combo Dryer Vents Heat Pump Range Hood Vents Air Conditi ner Cook Stove Vents Evaporative Cooler _ Bath Fan Vents Unit Heater Space Hcah Decorative Incinerator Boil Pool Heater Fuel Gas Pil Hcat (Circle all that a Sipa=c of appliance other similar vents & ducts; Outlets including stubbed in or future outlets ly) Gas Oil Coal Fireplace Electric Hydronic fdo. 4�3 r J � a -.o OCT 31 2007 CITY OF REXBIIRG Point of Debvem must be shown on Lam ontractar Licase U=ber Fchedrde is the same at I 14231© Daft Me S care ofr daho i- Building Safety Department 4 AEx8t, q a i City of Rexburg 'o 19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024 CITY O F MXBURG America's Family Community OWNER'S NAME r `�/` d �^'�' ��K ► < 0700557 PROPERTY ADDRESS dIAC C SUBDIVISION C of K 593 E. 5th S. PHASE —OT BLOCK Required!!! ELECTRICAL Electrical Contractor's Name Business Name i Address <` " , -'I / j i; r : � 1. Clty f/ r ``Z- Jt State ziv Cell Phone ('05,Y) -' i �'' `ff `? Business Phone Fax ;�:._ r , 5' - f i� - Email G�.� ; �� , r�J ,' t y r- �� ,� 4 Electrical Estimate (cost of wiring & labor) $ .J (COMMERCIAL /MULTI - FAMILY ONLY) TYPES OF INSTALLATION (New Residential includes everything contained within the residential structure and attachedgarage at Abe same time) Number of meters being installed Up to 200 amp Service* 201 to 400 amp Service* Over 400 amp Service* Temporary Construction Service, 200 amp or less, one Existing Residential (# of Branch Circuits) L' Spa, Hot Tub, Swimming Pool E I N t 1 Ali I Q- 1 1 Electric Central Systems Heating and /or Cooling (when not part of a new residential construction permit and no additional wiring) Modular, Manufactured or Mobile Home Other Installations: Wiring not specifically covered by any of the above Cost of Wiring & Labor: $ Pumps (Domestic Water, Irrigation, Sewage) Requested Inspections (of existing wiring) Temporary Amusement /Industry *Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour. Signature of Licensed Contractor License number Date T he City of Rexburg's permit fee schedule is the same as required by the State of Idabo SUBCONTRACTOR LIST Excavation & Earthwork: C `' � Concrete: Masonry: Roofing: Gk C Vj Drywall: i'zlse co�J, Painting: Floor Coverings: Plumbing: Heatin Electrical: Special Construction (Manufacturer or Supplier) Roof Trusses: 5 Floor /Ceiling joists A- Siding /Exterior Trim: